Individual provider Active NPI

Paul Joseph Hodgson, D.C.

  • Chiropractor
  • Hendersonville, TN
National Provider Identifier
1326324534
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-31871 Issued in CA
Practice address
174 Saundersville Rd Ste 301
Hendersonville, TN 37075-8947
Phone
(615) 695-7711
Fax
(858) 901-1346
NPI assigned
Nov 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-31871 CA Primary

Addresses

Primary practice location

174 Saundersville Rd Ste 301
Hendersonville, TN 37075-8947

Mailing address

PO Box 1176
Cardiff, CA 92007-7176
Phone (858) 509-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220816000658 TN Practitioner - Chiropractic 1759516099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

174 Saundersville Rd
Suite 301
Hendersonville, TN 37075-8947
Phone (615) 695-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-31871CAMDChiropractor
3484TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Wave Chiropractic P.C. Chiropractor CurrentSince Aug 1, 2022 Accepting new patients
Tyson Perez Chiropractic, Inc. Chiropractor Past Accepting new patients
Derek N Rupp Chiropractic, Inc Chiropractor Past Accepting new patients

Locations

174 Saundersville Rd
Ste 301
Hendersonville, TN 37075
Phone (509) 869-5457

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1326324534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1176",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920077176",
            "telephone_number": "858-509-7999",
            "fax_number": "858-901-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 SAUNDERSVILLE RD STE 301",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370758947",
            "telephone_number": "615-695-7711",
            "fax_number": "858-901-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGSON",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-01",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-31871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.